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Published on: December 10, 2021
A Novel Technique for Septal Perforation Repair: Fascia Lata Graft
Deniz Hanci1, Öykü İzel Onaran1, Hüseyin Altun2
1Department of Otorhinolaryngology-Head and Neck Surgery Okmeydani Prof. Dr. Cemil Taşçioğlu City Hospital, Şişli.
Background:
Nasal septal perforation (NSP) is an anatomical defect involving the mucosa, cartilage/bone of the nasal septum, most commonly caused by septoplasty. Spontaneous healing of a perforated septum is rare; instead, it tends to worsen over time. Several surgical approaches have been described for NSP repair. In this study, the authors present a novel technique using only fascia lata graft for repairing NSP of various sizes.
Methods:
The authors conducted a retrospective study, including 23 patients who underwent NSP repair between January 2020 and January 2022. Grafts were harvested, and the perforation was accessed through an open rhinoplasty approach, followed by insertion and suturing of the graft.
Results:
The mean size of the septal perforations was 2.13 mm horizontally and 2.14 mm vertically. The mean follow-up period was 12 months. Complete closure of NSP was achieved in 21 out of 23 patients (91.30%). Among the cases, 17 were males (11.76%), and the age ranged from 20 to 43 years with a mean of 36.5. Eight cases (50%) were smokers. At 12 months postoperatively, 3 medium-sized NSPs were closed successfully, whereas 2 large NSPs did not achieve closure due to smoking.
Conclusion:
The fascia lata technique for NSP closure is a safe and reliable approach with a high success rate, which should be considered for patients with NSP.
